구조화된 상지운동이 혈액투석 환자의 동정맥루 협착에 미치는 효과

• Published in: Journal of Korean biological nursing science Vol. 14; no. 4; pp. 300 - 307
• Main Author: 김애리
• Format: Journal Article
• Language: Korean
• Published: 한국기초간호학회 01.01.2012
• Subjects: 간호학; 혈액투석환자; 동정맥루 협착; Stenosis in arteriovenous fistula; Hemodialysis patient; Structured arm exercise; 구조화된 상지운동
• ISSN: 2383-6415; 2383-6423
• DOI: 10.7586/jkbns.2012.14.4.300

Purpose: The purpose of this research was to develop and prove the effectiveness of structured arm exercise, which was used to reduce Arteriovenous Fistula (AVF) and Arteriovenous graft (AVG) stricture of hemodialysis patients. Methods: Quasi-experimental research design with non-equivalent control group was applied. 26 Subjects were participated in this study. 12 of hemodialysis patients who do not have a normal range of Static Intra Access Pressure Vein (SIAPV) score in the last three months were assigned to the experimental group and 14 patients who have a normal range of SIAPV score in the last three months to the control group. To analyze the collecting data after structured arm exercise, non parametric method with the repeated measures ANOVA by the Friedman test and Wilcoxon Signed Ranks Test for post-hoc test was performed. Results: Unlike the experimental group after three months, the control group's SIAPV data went over the normal range. The experimental AVF group showed a difference in data after month 2 and month 3. - In AVG group, there were clear differences in each month of the test. Conclusion: This study proved that structured arm exercise therapy could be a simple and effective intervention. It is suggested to be actively utilized for hemodialysis patients.